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Psychologically, theres an appeal: a way to get weight-loss benefits with fewer downsides sounds like the best of both worlds

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Manufacturer competition between Novo Nordisk and Eli Lilly has produced direct cash-pay programs that did not exist before 2024

Stress increases the cortisol levels, which causes your body to overflow with free radicals

Practical steps that help: Start on the lowest dose (2.5 mg) and increase gradually Eat a diet based on whole foods, eat 3 balanced a meals a day, and consider protein-rich snacks in between meals if needed Spread fat intake across meals rather than having a lot in one sitting Stay well hydrated, especially if youre experiencing looser stools Keep a brief food diary if symptoms flare up, to identify triggers If diarrhoea persists rather than easing as your body adjusts, ask your GP about bile acid diarrhoea specifically

But if you are losing weight consistently at your current dose with manageable side effects, there is no reason to increase